Healthcare Provider Details

I. General information

NPI: 1720965627
Provider Name (Legal Business Name): CHABELI TORRES PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 E CHAMPLAIN DR
FRESNO CA
93720-5624
US

IV. Provider business mailing address

701 W CENTER AVE
VISALIA CA
93291-6015
US

V. Phone/Fax

Practice location:
  • Phone: 559-878-4595
  • Fax: 559-389-0495
Mailing address:
  • Phone: 559-713-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: